Risk-Based Border Strategy Program

The Risk Based Border Strategy (RBBS) project was derived from a Centers for Disease Control and Prevention (CDC) Division of Global Migration and Quarantine (DGMQ) workshop in March 2009 where the Federal Risk-Based Border Strategy (RBBS) was unveiled. NACCHO, with support from the CDC Division of Global Migration and Quarantine, strives to enhance the capacity of local health departments (LHDs) to provide risk-based disease screening strategies to reduce the impact of pandemic influenza and other communicable disease. The primary means of achieving this goal are to identify, create, and expand opportunities for collaboration among federal, state, and local partners to plan for, respond to, and recover from an influenza pandemic and other communicable disease incidents.

The National Association of County and City Health Officials (NACCHO) has prepared this issue brief to provide the Centers for Disease Control and Prevention (CDC) Division of Global Migration and Quarantine (DGMQ) and local health departments (LHDs) an overview of the status of refugee health programs at the LHD level. This issue brief contains information obtained from primary and secondary sources; an environmental scan of relevant programs and literature on the subject of refugee health; key informant interviews; and a facilitated discussion with local public health representatives who work directly with local refugee health programs.More »

Map of U.S. Ports of Entry

This map displays all the ports of entry in the United States, the locations of the CDC Quarantine Stations, and the jurisdiction of the local health department(s) in which there is a quarantine station.

These five case studies illustrate how local health departments collaborated with local businesses and universities to respond to and mitigate the effects of the H1N1 influenza pandemic. The studies describe how the partnerships were formed, maintained, and the impact of the partnership in planning for and responding to the H1N1 influenza pandemic. A recommendation section at the end of each document provides succinct guidance for a local health department or private entity interested in engaging in a partnership. Click here for the case studies.

U.S. Port Preparedness at the Local Health Department Level

The Centers for Disease Control and Prevention operates 20 quarantine stations throughout the U.S. These quarantine stations are part of a comprehensive Quarantine System that serves to limit the introduction of infectious diseases into the United States and to prevent their spread. Local health departments collaborate with the quarantine stations and support these activities; however, many issues remain unresolved with respect to planning for and responding to health-related situations at U.S. ports of entry at the local health department level. NACCHO researched and wrote an issue brief to better understand the challenges faced by LHDs when planning for preparedness activities and also to identify strengths in the current system in order to further improve planning and response activities. Click here to view the issue brief.